Thank You - Payce Digital

Promotional Code

Account Type

Payce Digital Card Young Professionals Card

Personal Details

Title

Last Name

First Name

Middle Name

Marital Status

Date Of Birth

National ID No./Driver's License

Nationality

# of Dependents

Age of Dependents

Home Telephone

Mobile Telephone

Email Address

Current Address

# of Years at Current Address

Mailing Address

If different from Current Address

Previous Address

If at Current Address less than two years

Employment Information

Name of Employer

Your Job Position

Work Telephone Number

# of Years at Workplace

Employer Address

Employer Email

Name of Previous Employer

Previous Job Position

Work Telephone Number

# of Years at Workplace

Previous Employer Address

Previous Employer Email

Financial Information

Income

Income Period

Total Expenses

Other Income

Other Income Period

Source Of Other Income

Name of Primary Bank

Bank Address

Account Types Held

Savings Checking Loans Credit Card

# of Credit Cards

Home Ownership Status

Own Rent Family Home Other

Political Background (Anti-money laundering legislation requires that we confirm the below)

Are any of the applicant(s) or immediate family members a current or former senior government, political or military official, or do any of them have a relative or close connection who is a current or former senior government, political or military official?

Yes No

Additional Card Holder Information (Valid Photo Identification & Proof of Address Required)

Title

Last Name

First Name

Middle Name

Marital Status

Date Of Birth

National Identification No./Driver's License

Work Telephone

Home Telephone

Mobile Telephone

Email Address

Current Address

Reference Information (Please List one Relative and one Friend NOT Living With You)

Title

Last Name

First Name

Middle Name

Relationship Relationship with/to card holder.

Work Telephone

Home Telephone

Mobile Telephone

Email Address

Current Address

Title

Last Name

First Name

Middle Name

Relationship

Relationship with/to card holder.

Work Telephone

Home Telephone

Mobile Telephone

Email Address

Current Address

Title

Last Name

First Name

Middle Name

Relationship

Relationship with/to card holder.

Work Telephone

Home Telephone

Mobile Telephone

Email Address

Current Address

Complete This Section To Register For Electronic Statements

Would you like to receive your monthly statements electonically? Yes No

How Did You Hear About Us? (Please Tick All That Apply)

Upload Any Supporting Documents ( eg. Scans of identification documents or business registration documents as images or pdf files. )

Please note original documents should be provided in order to complete the process.

Explicit Consent Authorisation

PERSONAL DATA

I/We hereby explicitly and unambiguously consent to Cave Shepherd Card (Barbados) Inc’s collection, use, storage and transfer in electronic or other form of my/our Personal Data as defined in the Cave Shepherd Card (Barbados) Inc. Cardholder Agreement for the exclusive purpose of the issuance, administration and management of my/our Payce Digital Visa branded Card.

MARKETING and PROMOTIONS

I/We hereby explicitly and unambiguously consent to receive promotional material about Payce Digital Visa Card related products and services.

Yes No

NOTE
The Authorised User/s is/are entitled at any time, by written notice to Cave Shepherd Card (Barbados) Inc, to require it, at the end of a twenty-one (21) day period, to cease processing my/our Personal Data for the purposes of receiving promotional material about Payce Digital Visa Card related products and services.

Summary Of Terms and Conditions

I certify that the above information is true and complete and that this information is provided for the purpose of obtaining a Payce Digital Account. I, the Authorised User, agree to the terms and conditions of the Cave Shepherd Card (Barbados) Inc. Cardholder Agreement and agree to repay all credit extended under this application. I authorize Cave Shepherd Card (Barbados) Inc. (the “Company”) to investigate my credit through registered credit reference agencies and to make any other enquiries the Company may consider relevant in processing this application. I also authorize Cave Shepherd Card (Barbados) Inc. to issue an additional Payce Digital Card to any person named as an Additional Cardholder.

I understand that a condition of my approval of the Payce Digital Account is to enroll in the Creditor Life Insurance Program. I understand that to be eligible for insurance coverage, I must be at least 18 years of age and under age 70 and that I am further bound by the terms and conditions as stated in the documentation pertaining to the Creditor Life Insurance. I authorize Cave Shepherd Card (Barbados) Inc. to provide the Insurance Company with my Payce Digital Account Number, mailing address, statement balance and to charge my monthly premiums to my Payce Digital Account. I confirm that I have read and reviewed the terms and conditions associated with the Creditor Life Insurance found here

If so registered and accessing the Payce Digital Online and Payce Digital Mobile App Services, I agree to use the User ID provided as part of the registration process and also agree to change any temporary passwords provided during my first log in. I agree to remain solely responsible for management of my online access and to report any changes to my registered information to Cave Shepherd Card (Barbados) Inc.

It is understood that by signing this application, making use of my Payce Digital Card and accessing the Payce Digital Online and Payce Digital Mobile App Services, if so registered, that I the Authorised User and all Additional Cardholders have received and read and understood the terms and conditions set out in the Payce Digital Mobile Terms and Cave Shepherd Card (Barbados) Inc. Cardholder Agreement.

By signing this Agreement, I the Applicant and/or Authorised User acknowledge that I/we have read, understood and accepted the terms and conditions of use of the Card under this Agreement and are in receipt of all other documentation relating thereto. I/We further agree and understand that the use of Payce Digital Online Service and the Payce Digital Mobile App are also governed, in addition to their respective terms and conditions, by this Agreement.

CUSTOMER SIGNATURE NAME ^*

Thank You!

Personal Details

Employment Information

Financial Information

Political Background (Anti-money laundering legislation requires that we confirm the below)

Additional Card Holder Information (Valid Photo Identification & Proof of Address Required)

Reference Information (Please List one Relative and one Friend NOT Living With You)

Complete This Section To Register For Electronic Statements

How Did You Hear About Us? (Please Tick All That Apply)

Upload Any Supporting Documents ( eg. Scans of identification documents or business registration documents as images or pdf files. )

Explicit Consent Authorisation

Summary Of Terms and Conditions